Pediatric Epilepsy W/WO – Surgical Planning (Smaller Patients) 3T
Siemens Healthineers – MR Gadopiclenol (VUEWAY®) Protocols
Instructions And Patient Preparation
- Instructions
- Position the head in the head coil and immobilize with cushions
Give cushions under the legs for extra comfort
Connect the anterior portion of the head coil and secure it in place.
Sedation vs bundle and feed is the ordering provider’s decision - Common Indications
- Seizure
Epilepsy - Position
- Head First
Supine - Coil
- Head Coil 20ch
- Landmark
- Center over the glabella
- Patient Population
- These protocols are intended for smaller patients and serve as starting points. If a smaller FOV is needed, the parameters are modified accordingly.
- AX DTI
- We would perform the DTI only if it’s requested
Contrast Agent Parameters
| Contrast Agent | Dose | Injection Rate | Dose Timing Method and Scan Delay | |||||
|---|---|---|---|---|---|---|---|---|
| Gadopiclenol (VUEWAY) | 0.1 mL/kg | Hand injected | Post-contrast series acquired after gadolinium administration | |||||
Imaging Parameters
| Scan Description | AAhead_scout | SAG MPRAGE 3D |
SAG T2 3D SPACE STEALTH |
SAG 3D T2 FLAIR |
AX T2WI (3mm) DRB |
AX T2 FLAIR DRB |
AX DWI |
AX DTI |
AX SWI |
COR T2WI (2mm) DRB |
POST SAG MPRAGE 3D |
POST AX T2 FLAIR DRB |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | View Image | ||||
| Sequence Name | fl | tfl | spcR | spcir | tseR | tir | epse | epse | swi_r | tse | tfl | tir |
| Dimension | 3D | 3D | 3D | 3D | 2D | 2D | 2D | 2D | 3D | 2D | 3D | 2D |
| Acceleration mode | GRAPPA | GRAPPA | CAIPIRINHA | GRAPPA | GRAPPA | GRAPPA | SMS | SMS | GRAPPA | GRAPPA | GRAPPA | GRAPPA |
| Total Factor | ― | ― | 4 | 2 | ― | ― | ― | ― | ― | ― | ― | ― |
| Acceleration Factor PE | 3 | 2 | 2 | 2 | 3 | 3 | 2 | 2 | 2 | 3 | 2 | 3 |
| Acceleration Factor 3D | 1 | 1 | 2 | 1 | ― | ― | ― | ― | 1 | ― | 1 | ― |
| Reference Lines PE | 24 | 64 | 24 | 24 | 40 | 52 | 30 | 34 | 24 | 26 | 64 | 52 |
| Reference Scans | Integrated | GRE/Separate | Integrated | Integrated | Integrated | Integrated | EPI/Separate | EPI/Separate | Integrated | Integrated | GRE/Separate | Integrated |
| Deep Resolve | ― | ― | ― | ― | On | On | Off | Off | Off | On | ― | On |
Scan Parameters
| Scan Description | AAhead_scout | SAG MPRAGE 3D |
SAG T2 3D SPACE STEALTH |
SAG 3D T2 FLAIR |
AX T2WI (3mm) DRB |
AX T2 FLAIR DRB |
AX DWI |
AX DTI |
AX SWI |
COR T2WI (2mm) DRB |
POST SAG MPRAGE 3D |
POST AX T2 FLAIR DRB |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TR | 3.15 ms | 2500.0 ms | 3200.0 ms | 5000.0 ms | 4000.0 ms | 9000.0 ms | 3200.0 ms | 4100.0 ms | 27.0 ms | 5500.0 ms | 2500.0 ms | 9000.0 ms |
| TE | 1.37 ms | 3.87 ms | 401.00 ms | 385.00 ms | 106.00 ms | 126.00 ms | 87.00 ms | 89.00 ms | 20.00 ms | 111.00 ms | 3.87 ms | 126.00 ms |
| TI | ― | 1240 ms | ― | 1800 ms | ― | 2500 ms | ― | ― | ― | ― | 1240 ms | 2500 ms |
| Flip Angle | 8 deg | 8 deg | T2 Var | T2 Var | 160 deg | 150 deg | ― | ― | 15 deg | 150 deg | 8 deg | 150 deg |
| Bandwidth | 540 Hz/Px | 170 Hz/Px | 657 Hz/Px | 668 Hz/Px | 241 Hz/Px | 289 Hz/Px | 1540 Hz/Px | 1330 Hz/Px | 120 Hz/Px | 266 Hz/Px | 170 Hz/Px | 289 Hz/Px |
| Turbo Factor | ― | 224 | 282 | 278 | 15 | 21 | ― | ― | ― | 17 | 224 | 21 |
| Echo Spacing | ― | 9.06 ms | 3.78 ms | 3.74 ms | 9.60 ms | 9.02 ms | 0.94 ms | 0.94 ms | ― | 11.1 ms | 9.06 ms | 9.02 ms |
| Echo Trains per Slice | ― | ― | ― | ― | 12 | 7 | ― | ― | ― | 10 | ― | 7 |
| EPI Factor | ― | ― | ― | ― | ― | ― | 112 | 114 | ― | ― | ― | ― |
| Gradient Mode | Normal | Normal | Fast | Fast | Fast | Fast | Fast* | Fast | Normal | Fast | Normal | Fast |
| RF Pulse Type | Fast | Normal | Normal | Normal | Normal | Normal | Normal | Normal | Fast | Normal | Normal | Normal |
| RF Spoiling | On | On | ― | ― | ― | ― | ― | ― | On | ― | On | ― |
| Asymmetric Echo | Weak | Off | ― | ― | ― | ― | ― | ― | Off | ― | Off | ― |
| Flow Compensation | ― | None | None | None | None | None | ― | ― | On | None | None | None |
| Reduce Motion Sens. | ― | ― | ― | ― | On | On | ― | ― | ― | On | ― | On |
| Phase Correction | ― | ― | ― | ― | Automatic | Automatic | External | Internal | ― | Automatic | ― | Automatic |
Contrast & Magnetization
| Scan Description | AAhead_scout | SAG MPRAGE 3D |
SAG T2 3D SPACE STEALTH |
SAG 3D T2 FLAIR |
AX T2WI (3mm) DRB |
AX T2 FLAIR DRB |
AX DWI |
AX DTI |
AX SWI |
COR T2WI (2mm) DRB |
POST SAG MPRAGE 3D |
POST AX T2 FLAIR DRB |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fat-Water Contrast | Standard | Standard | Standard | Fat Saturation | Standard | Fat Saturation | Fat Saturation | Fat Saturation | Standard | Standard | Standard | Fat Saturation |
| Fat Saturation | ― | ― | ― | Strong | ― | Strong | Strong | Strong | ― | ― | ― | Strong |
| Magn. Preparation | ― | Non-sel. IR | None | Non-sel. T2-IR | None | Slice-sel. IR | None | None | None | None | Non-sel. IR | Slice-sel. IR |
| MTC | ― | ― | Off | Off | Off | Off | Off | Off | Off | Off | ― | Off |
| Dark Blood | ― | Off | Off | Off | Off | Off | ― | ― | Off | Off | Off | Off |
| Contrasts | 1 | 1 | ― | ― | 1 | 1 | ― | ― | 1 | 1 | 1 | 1 |
| Reconstruction | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude | Magnitude | Magn./Phase | Magnitude | Magnitude | Magnitude |
| Wrap-up Magn. | ― | ― | Restore | None | Restore | None | ― | ― | ― | None | ― | None |
Acquisition Parameters
| Scan Description | AAhead_scout | SAG MPRAGE 3D |
SAG T2 3D SPACE STEALTH |
SAG 3D T2 FLAIR |
AX T2WI (3mm) DRB |
AX T2 FLAIR DRB |
AX DWI |
AX DTI |
AX SWI |
COR T2WI (2mm) DRB |
POST SAG MPRAGE 3D |
POST AX T2 FLAIR DRB |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Base Resolution | 160 | 224 | 224 | 288 | 384 | 320 | 112 | 114 | 256 | 384 | 224 | 320 |
| Phase Resolution | 100 % | 100 % | 100 % | 100 % | 80 % | 70 % | 100 % | 100 % | 96 % | 80 % | 100 % | 70 % |
| Slice Resolution | 69 % | 100 % | 100 % | 100 % | ― | ― | ― | ― | 100 % | ― | 100 % | ― |
| Averages | 1 | 1 | 2.0 | 1.0 | 1 | 1 | ― | ― | 1 | 1 | 1 | 1 |
| Concatenations | 1 | 1 | 1 | 1 | 2 | 2 | 1 | 1 | 1 | 3 | 1 | 2 |
| FoV Read | 260 mm | 200 mm | 200 mm | 250 mm | 180 mm | 180 mm | 180 mm | 180 mm | 180 mm | 160 mm | 200 mm | 180 mm |
| FoV Phase | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % | 100.0 % |
| Phase Encoding Dir. | A >> P | A >> P | A >> P | A >> P | R >> L | R >> L | A >> P | A >> P | R >> L | R >> L | A >> P | R >> L |
| Phase Oversampling | 0 % | 0 % | 0 % | 0 % | 50 % | 50 % | 0 % | 0 % | 0 % | 50 % | 0 % | 50 % |
| Slice Oversampling | 0.0 % | 7.7 % | 8.3 % | 0.0 % | ― | ― | ― | ― | 10.0 % | ― | 7.7 % | ― |
| Phase Partial Fourier | 6/8 | Off | Off | Allowed | Off | Off | 7/8 | 6/8 | 7/8 | Off | Off | Off |
| Slice Partial Fourier | 6/8 | Off | Off | 7/8 | ― | ― | ― | ― | 7/8 | ― | Off | ― |
| Interpolation | ― | On | On | On | On | On | On | Off | Off | On | On | On |
| Trajectory | Cartesian | ― | ― | ― | ― | ― | ― | ― | ― | ― | ― | ― |
| Multi-Slice Mode | Sequential | Single Shot | ― | ― | Interleaved | Interleaved | Interleaved | Interleaved | Interleaved | Interleaved | Single Shot | Interleaved |
Scanning Range
| Scan Description | AAhead_scout | SAG MPRAGE 3D |
SAG T2 3D SPACE STEALTH |
SAG 3D T2 FLAIR |
AX T2WI (3mm) DRB |
AX T2 FLAIR DRB |
AX DWI |
AX DTI |
AX SWI |
COR T2WI (2mm) DRB |
POST SAG MPRAGE 3D |
POST AX T2 FLAIR DRB |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Slice Thickness | 1.6 mm | 0.90 mm | 0.90 mm | 0.90 mm | 3.0 mm | 4.0 mm | 4.0 mm | 1.8 mm | 1.50 mm | 2.0 mm | 0.90 mm | 4.0 mm |
| Slices | 128 Slices per Slab |
208 Slices per Slab |
192 Slices per Slab |
192 Slices per Slab |
50 Slices | 34 Slices | 34 Slices | 62 Slices | 80 Slices per Slab |
80 Slices | 208 Slices per Slab |
34 Slices |
| Distance Factor | 20 % | 50 % | ― | ― | 10 % | 10 % | 10 % | 0 % | 20 % | 10 % | 50 % | 10 % |
| Special Saturation | ― | ― | None | None | None | None | None | None | None | None | ― | None |
| Raw Filter | Off | Off | On | On | Off | Off | Off | Off | Off | Off | Off | Off |
| Elliptical Filter | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off | Off |
| Image Filter | Off | On | Off | Off | Off | Off | ― | ― | Off | Off | On | Off |
| Distortion Correction | 3D | 2D | 2D | 2D | 2D | 2D | Off | Off | 2D | 2D | 2D | 2D |
| Normalize | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan | Prescan |
| Noise Masking | Off | ― | ― | ― | ― | ― | Off | Off | ― | ― | ― | ― |
| Time of Acquisition | 14 sec | 4:52 min | 4:40 min | 7:57 min | 1:46 min | 2:26 min | 3:20 min | 7:20 min | 4:11 min | 3:03 min | 4:52 min | 2:26 min |
Diffusion
| Scan Description | AAhead_scout | SAG MPRAGE 3D |
SAG T2 3D SPACE STEALTH |
SAG 3D T2 FLAIR |
AX T2WI (3mm) DRB |
AX T2 FLAIR DRB |
AX DWI |
AX DTI |
AX SWI |
COR T2WI (2mm) DRB |
POST SAG MPRAGE 3D |
POST AX T2 FLAIR DRB |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Diffusion Mode | ― | ― | ― | ― | ― | ― | MDDW | MDDW | ― | ― | ― | ― |
| Diffusion Scheme | ― | ― | ― | ― | ― | ― | Monopolar | Monopolar | ― | ― | ― | ― |
| Diff. Directions | ― | ― | ― | ― | ― | ― | 6 | 30 | ― | ― | ― | ― |
| b-value 1 | ― | ― | ― | ― | ― | ― | 0 s/mm² | 0 s/mm² | ― | ― | ― | ― |
| b-value 2 | ― | ― | ― | ― | ― | ― | 1000 s/mm² | 1000 s/mm² | ― | ― | ― | ― |
| Averages b-value 1 | ― | ― | ― | ― | ― | ― | 1 | 12 | ― | ― | ― | ― |
| Averages b-value 2 | ― | ― | ― | ― | ― | ― | 3 | 3 | ― | ― | ― | ― |
| Diff. Weightings | ― | ― | ― | ― | ― | ― | 3 | 2 | ― | ― | ― | ― |
| Diff. Weighted Images | ― | ― | ― | ― | ― | ― | Off | On | ― | ― | ― | ― |
| Trace Weighted Images | ― | ― | ― | ― | ― | ― | On | On | ― | ― | ― | ― |
| ADC Maps | ― | ― | ― | ― | ― | ― | On | On | ― | ― | ― | ― |
| Exponential ADC Maps | ― | ― | ― | ― | ― | ― | Off | Off | ― | ― | ― | ― |
| FA Maps | ― | ― | ― | ― | ― | ― | On | On | ― | ― | ― | ― |
| Calculated Image | ― | ― | ― | ― | ― | ― | Off | Off | ― | ― | ― | ― |
